In 2014, we continued to pursue our mission and execute our business strategies of deepening customer relationships, expanding globally, and pursuing smart acquisitions.
We advanced our clinical focus areas, building understanding of how to leverage people, products and programs to help patients achieve better outcomes. As you read on you’ll learn more about each of these efforts.
I hope you’ll take the time to read both reports, and that you’ll come away with a richer sense of who we are, where we’ve been and where we’re going.
We are proud of the impact we had in 2014 and are eager for the work that lies ahead to continue to improve outcomes for patients and their caregivers.
Our Hill‑Rom Commitment translates our values into the practices that guide our work.
The latest addition to Hill‑Rom’s Surgical and Respiratory Care portfolio, the VitalCough™ System, is a non-invasive therapy that stimulates coughing in a patient to help keep lungs clear. This is essential for preventing potentially serious infections like pneumonia. The system works by mechanically helping a patient inhale and exhale, in the process loosening secretions in the lungs which are then removed either via coughing or suction. The VitalCough System is intended for patients who have a weakened cough response or who cannot clear secretions on their own. It is designed to be easy to use in both acute and post-acute settings, helping support the transition from hospital to home for patients.
“We are not here to just deliver a product,” says Carlyn Solomon, Hill‑Rom Chief Operating Officer. “We work to become partners with our customers, whether they’re big or small, helping them improve patient outcomes.”
More than a quarter of Japanese citizens are over age 65, one of the highest proportions in the world. As their population ages, demand on the health care system increases while those same population patterns decrease the number of available caregivers. With young professionals drawn to major urban centers, hospitals in suburban and rural locations are hit the hardest.
“Young professionals want opportunities to learn and work at centers of professional excellence,” says Dr. Koji Yonemori, Chief Executive Officer of Yonemori Hospital. “We must prioritize having a safe, exciting and enriching work environment to attract the staff we need and a facility that is well-equipped to care for our patients today and tomorrow.”
The aging population also requires understanding of new approaches to care. Modern medicine means that many people survive serious illnesses, but a hospital recovery carries its own risks. Early mobility has been a major focus in intensive care units (ICUs) in North America and Europe in recent years. Having even seriously ill patients move their bodies very early in recovery prevents complications and improves long-term outcomes.
The team at Yonemori Hospital turned to Hill-Rom for help in addressing both needs, establishing a training center of excellence that trains young staff in caring for older patients and the importance of early mobility and a state-of-the-art facility dedicated to embracing global best practices. The hospital worked with Hill-Rom to install advanced Hill-Rom® beds, Liko® lift systems, and other equipment to create a trauma center, emergency room, ICU and rehabilitation facilities that are the first of their kind in the Kagoshima prefecture. In addition, the Hill-Rom Progressive Mobility® program became a centerpiece of training for the hospital’s clinical team.
“Our vision is to create a hospital that attracts talented staff and has the equipment and programs in place needed to care for our aging society,” said Dr. Yonemori. “I believe our work to establish this new hospital and learning facility will benefit not only our patients, but our city and country as a whole.”
St. Joseph Mercy Oakland has served the Pontiac, Michigan area in the U.S. for more than 80 years, and in 2011 the hospital was on the precipice of a major expansion when they reached out to Hill-Rom. Their goal was not to simply add capacity. They wanted to establish a technologically advanced institution worthy of their ranking as one of the nation’s top five percent of hospitals for clinical excellence. “Before we ever began talking about products or programs we talked about principles,” says Michelle Daniels, leader of the SJMO partnership team at Hill-Rom. “Their team had an exciting vision for what their expanded facility would be and it energized us all.”
Interdisciplinary teams from Hill-Rom and SJMO worked together over a two-year period during the design phase of the project. The SJMO team made three trips to Hill-Rom’s Customer Experience Center (CEC) in Batesville, Indiana, U.S., where customers can walk through installations of hospital rooms, surgical suites and intensive care units to actually use the equipment and understand how elements of the care environment relate to each other. This hands-on, real-world experience with products can be invaluable in identifying all the details that make a care environment seamlessly support both caregivers and patients.
Among the advancements the SJMO team wanted to implement was the ability to leverage wireless technology for hand-hygiene monitoring. The SJMO team began by installing the Hill-Rom Hand Hygiene Compliance Solution in a single unit of the hospital, to deeply evaluate how the system would work with both the facility and staff. Once up and running, teams at SJMO and Hill-Rom monitored and analyzed system data to direct ongoing adjustments in that
The pilot program was next expanded to two more floors, to establish the best way to replicate the installation facility-wide. As the system expanded, the teams monitored its impact on hand-washing compliance in nearly simultaneously real-time. One afternoon, a nurse looking at the hand-hygiene dashboard decided to post printed compliance data mid-shift to encourage increased diligence. The results were immediate. The Hill-Rom team saw the compliance spike and called to make sure the results were genuine – they were.
The meld of a high-tech system and old fashioned personal encouragement had delivered excellent results that are now being replicated throughout SJMO and are serving as a model for other institutions.
Medica Sur is one of Mexico’s leading hospitals, with a tight focus on patient outcomes. In 2014 it joined an elite group of just eight other hospitals in Mexico by receiving accreditation from the International Joint Commission. The accreditation process was a major milestone, and kicked off a 10-year plan that will establish Medica Sur as one of the largest teaching and training hospitals in Mexico. Many institutions would take accreditation as evidence of a job well done, but Medica Sur saw it as a jumping off point.
The Joint Commission requires hand hygiene compliance programs for all accredited hospitals. Medica Sur’s programs qualified them for accreditation, but had limitations. They were working with a team from Hill‑Rom on design for the new facilities, and began discussing some of the challenges they were facing with their “secret shopper” compliance method. The Hill‑Rom team responded by bringing in expertise from its Clinical Workflow Solutions group in the U.S. to show the Medica Sur team how an automated system could address all the challenges (and then some). Ultimately, Medica Sur became the first institution outside of the U.S. and Canada to implement the Hill‑Rom Hand Hygiene Solution, an advanced wireless system that provides continuous automatic monitoring of hand hygiene and washing by clinical staff. They created an interdisciplinary team led by the hospital’s chief epidemiologist to run a pilot program in the cardiac department.
“We appreciated the spirit of partnership with Hill‑Rom on the pilot of the Hand Hygiene system in our Intermediate Care unit,” says Dr. Octavio Gonzaléz Chon, Medical Director. “The team from Hill‑Rom has worked closely alongside our leadership team to design and help us implement the program, which is aimed at improving not just hand hygiene behaviors but also impacting key clinical outcomes, such as reducing antibiotic use and patient length of stay. We are very excited about the potential this effort has for our institution.”
St. Joseph Mercy Oakland
Trumpf Medical is a major addition to our organization, more than doubling our surgical business and significantly expanding our presence in the operating room. Trumpf has a diverse line of integrated operating room solutions, including tables, modular equipment management systems, lighting and video solutions for the operating room.
Like Hill‑Rom, Trumpf has a history of pioneering technology, market-leading products and a reputation for quality and reliability. Its leading positions in surgical tables, surgical operating systems, and other operating room equipment is highly complementary to our Allen Medical and Aspen product lines, allowing us to offer a wide range of solutions for our surgical customers.
1978 - First ceiling-mounted supply unit
1997- Patented OR table coupling point system
2005 - World’s first LED operating room lights
2010 - First ceiling-mounted supply unit with modular design
says Taylor Smith, Senior Vice President, Surgical and Respiratory Care.
“Trumpf significantly expands our product offerings for the surgical suite. In just our first few months of working together, customers are already responding enthusiastically to the expanded opportunities presented by our combined portfolio.”
Among Trumpf’s most recent product innovations is the Trumpf iLED 7™ ‘smart light’ for the operating room – a lighting system with integrated sensors that analyze and adapt to the surgical environment. Sensors throughout the Trumpf iLED 7 continually monitor and adjust to changes in lighting, including shadows caused by the movement of the surgeons, to provide optimal lighting throughout a procedure. Another recent introduction is the TruSystem 7000dV™, a mobile OR table that combines optimal docking and patient positioning for robot-assisted surgery, which provides surgeons with improved access for greater efficiency during surgery.
“Trumpf and Hill‑Rom are an excellent team for our company and for surgeons,” says Smith. “We each are committed to deeply understanding and responding to the needs of our customers by leveraging technology to improve patient care.”
1/3 in emerging and
20% United States
80% Outside US
Medica Sur Hospital in Mexico City, Mexico, becomes the first international study program using the Hill‑Rom Hand Hygiene Solution.
Hill‑Rom’s Clinical Workflow Solutions business launches its products in Brazil.
A new training, research and development center opens in Hill‑Rom’s Witten, Germany, site, creating an expanded hub for European operations.
Hill‑Rom opens expanded, 24,000 square foot Asia-Pacific Innovation Centre, which houses regional headquarters and development programs for respiratory care and patient support among others.
Hill‑Rom Australia achieves its highest-ever sales on extremely strong year-over-year growth.
Hill‑Rom helps Yonemori Hospital in Kagoshima, Japan, establish a major learning program for regional health care providers emphasizing early mobility and caregiver safety. Early mobility has been proven to improve long-term outcomes, an important priority for Japan’s aging population.
In 2014, we continued our work to advance understanding of the importance of early mobility, working with teams at the Cleveland Clinic and the University of Pennsylvania to build understanding of how to turn research into practice.
“With advances in medicine, many patients can survive serious illnesses, but a recovery in the ICU bears its own risks. The research shows us early mobility helps mitigate those risks,” says Kate Klein, ACNP-BC, Neurologic Intensive Care Unit at the Cleveland Clinic. “Watching a patient who has been through a serious recovery get up and stand or even take a few steps shows how powerful early movement can be.”
Today’s hospital beds are anything but “just beds.” Advanced frames and surfaces support treatment goals and help protect against complications like pressure ulcers. Unfortunately, the absence of an evidenced-based tool to guide clinical decisions regarding which surface is right for which patient left hospital staff guessing.
Hill‑Rom worked with the Wound, Ostomy and Continence Nurses Society (WOCN) to convene an interdisciplinary panel to develop the world’s first evidence- and consensus-based surface-selection algorithm for patient surface selection.
Medical technology designed to promote the early mobilization and safe transfer of patients.
Solutions to treat and
Solutions that automate the clinical environment to improve safety
Surgical products and positioning technology designed to promote safety and procedural efficiency.
Airway clearance devices that help patients breathe easier across all care settings.
In the last seven years, the program has repurposed more than 7,000 pieces of equipment, which were delivered to sites in 35 countries. In 2014, the program continued to grow as we reconditioned and donated more than 2,400 products, which went to countries such as Haiti, Guatemala, Sierra Leone, and Burkina Faso. Donations included hospital furnishings, hospital beds, surgical supplies, and exam room equipment.
Over our 85-year history, contributing to the well-being of the communities in which we live and work has been an essential part of Hill‑Rom. We provide medical supplies to institutions in need in developing parts of the world, support a wide array of local organizations through volunteer and financial donations, and ensure our environmental footprint is responsible and actively managed.
Attention to our environmental impact is an important priority for our company. Our teams are constantly looking for new ways to reduce, reuse and recycle. Reducing or eliminating waste and continuously improving our business activities is a core commitment. Through trade-in or buy-back many of our products can be refurbished and returned to the market rather than discarded to a landfill.
Hill‑Rom routinely recycles plastic, copper, aluminum, steel, batteries, aerosol cans, wood, coolants, oils, cleaning solvents, fluorescent light bulbs, electronic components, cardboard and office paper. Our efforts to “go paperless” are showing impact with a reduced amount of waste paper generated in our operations. Our recycling efforts have recaptured nearly 5,000 tons of metal, 2,800 tons of cardboard, 900 tons of wood, 148 tons of plastics and 41 tons of office paper.
Nearly every site has been involved in a multi-year effort to replace outdated equipment, install energy efficient lighting and improve energy management systems to reduce electricity and natural gas consumption. Through these and other efforts, we continuously work to make managing our environmental impact a priority throughout our organization.
tons of metal
tons of cardboard
tons of wood
tons of plastics
Elected in 2002
Retired Executive Vice President and Chief Financial Officer of Eli Lilly and Company
Elected in 2002
President and CEO of the Rehabilitation Institute of Chicago
Elected in 2003
Retired President, ESG,
Elected in 2004
Retired CEO of Gentiva Health
Elected in 2007
Senior Vice President and Chief Financial Officer of H.B. Fuller Company
Elected in 2009
President and CEO, Hill‑Rom
Elected in 2010
Retired CEO of Boston
Elected in 2013
Retired Executive Vice President, Global
Pharmaceuticals, Abbott Laboratories
Elected in 2014
Senior Vice President, Corporate Development
President and CEO
Senior Vice President,
Global Supply Chain
Vice President, Controller
and Chief Accounting Officer
Senior Vice President
and Chief Technology Officer
Senior Vice President, Corporate Affairs, Chief Legal Officer and Secretary
Vice President, Tax
Vice President and Treasurer
Senior Vice President,
and Regulatory Affairs
Senior Vice President
and President, North America
Chief Compliance Officer
Senior Vice President
and President, Surgical and Respiratory Care
Chief Operating Officer
Senior Vice President
and Chief Financial Officer
Senior Vice President
and Chief Human
Hill‑Rom common stock is traded on the New York Stock
Exchange (NYSE) under the ticker symbol “HRC.”
If you have questions about your stock certificates – such as lost certificates, registration of certificates, dividend payments or any other stock-related question – please contact our transfer agent.
Its information is:
P.O. BOX 30170 College Station, TX 77842-3170
800-716-3607 (Within U.S., U.S. Territories and Canada)
312-360-5328 (Outside U.S., U.S. Territories and Canada)
Hill‑Rom offers its shareholders opportunities to reinvest dividends and to transfer their certificates into electronic accounts. In order to obtain information for these features, please contact our transfer agent, Computershare Trust Company, N.A.
Hill‑Rom’s annual meeting of shareholders will be held on
Wednesday, March 4, 2015 at 10:00 a.m. CST at:
180 North Stetson Avenue
Two Prudential Plaza
Chicago, IL 60601
Requests for the Hill‑Rom Annual Report, Form 10-K, Annual
Proxy Statement or other information on the company
should be directed in writing to:
Hill‑Rom Holdings, Inc.
1069 State Route 46 East
Batesville, IN 47006-8835
Or visit our website at:
Certain statements herein contain forward-looking statements, within the meaning of the Private Securities Litigation Reform Act of 1995, regarding the Company’s future plans, objectives, beliefs, expectations, representations and projections. It is important to note that forward-looking statements are not guarantees of future performance, and the Company’s actual results could differ materially from those set forth in any forward-looking statements. For a more in-depth discussion of factors that could cause actual results to differ from those contained in forward-looking statements, see the discussions under the heading “Risk Factors” in the Company’s previously filed most recent Annual Report on Form 10-K and subsequent Quarterly Reports on Form 10-Q. The Company assumes no obligation to update or revise any forward-looking statements.
Hill-Rom Board of Directors
Hill-Rom Executive Leaders